Clinical Advisory Panel – 2019

This year has been one of strategic planning and preparing ourselves for the next five years. We spent a lot of the first half of the year preparing for the CCO 2.0 contract, and the behavioral health transition (bringing the behavioral health benefit into CPCCO from GOBHI).

The Clinical Advisory Panel continued to focus on the quadruple aim and moving work forward. Areas of focus in 2019 have been the following:

  • Quality metrics: See metrics section.
  • Substance Use Disorder (SUD): The Clinical Advisory panel, early in the year, developed a regional vision for SUD, that has been used to help focus work throughout the region.

Develop a local trauma informed network for all substance use disorders that ensures timely equitable access, reduces stigma, and supports extensive cross organizational coordination with a long-term system of recovery support.

  1. CAP developed Opioid Use Disorder (OUD) goals for 2019-2020:
    1. Identify, publish, and maintain a list of currently available medically assisted treatment (MAT) and addiction services in the CPCCO region. – In Process
    2. Develop and implement a Columbia Pacific MAT Collaborative with a focus on developing referral pathways and improving coordination, creating a community of practice for providers, and spreading best-practices in the region. Complete -Scheduled for 2020
    3. Use OUD data to create an regional care team (RCT) strategy that identifies sub-populations for focused outreach and develops protocols for unique interventions to address the population's needs. In Development
    4. Create a regional, comprehensive overdose response strategy – Complete
    5. Develop and implement a community education campaign to address stigma and educate on MAT In discussion
  2. The CAP endorsed an Opioid Task force to develop regional recommendations to address overdose within the region. Work to move these recommendations forward have started.

  3. The fourth annual CPCCO Opioid and SUD summit was held in October 2019 and focused on OUD, methamphetamine and alcohol.
  4. MAT (MSR) learning collaborative was endorsed by the CAP and will start in early 2020
  5. For 2020 there is a new incentive metric looking at initiation and engagement of alcohol and other substance use disorders into treatment. This will be a big area of work in collaboration with primary care, behavioral health and hospitals.
  6. Under CAP recommendation, CPCCO has helped fund the construction and building of a new opioid treatment program. This CODA clinic will open in early 2020.
  7. The Clinical Advisory Panel discussed tobacco and advised on ways to address smoking cessation and prevention in the region. This will be a big area of work in 2020 as well.
  • Integration: Focused on dental metrics, access and pediatric oral health (first tooth)
  • Equity: In May, the Clinical Advisory Panel focused on advising on and discussing the CPCCO clinical equity plan, which includes required provider cultural responsiveness training and language access policies and processes.
  • Maternal Child Youth: The CAP provided a lot of strategic input into the maternal child youth strategies, and the gaps/barriers that the pathways to developmental screening project, done by OPIP brought forward. 2020 will see implementation of these strategies.
  • CAP 2020
    1. Revisioning network collaboration meetings: In 2020 we are looking to change how we engage with network to be more integrated with community and behavioral health. In addition, we will work to have operational taskforces that are working towards specific measurable goals.
    2. CAP Structure: Discussed and decided with CAP:
      1. To include operational partners in CAP meeting.
      2. For hard to fill roles a permanent placement is preferred before adding ad hoc members.
      3. PC3 will be sunsetting at the end of 2019 and we will move towards more work group/taskforces with clear and discreet goals. These workgroups/taskforces may be supported by learning collaboratives if deemed necessary in CAP strategic feedback.
      4. Risk Shares (Clatsop and Columbia) have agreed to align their investments with broader RHIP initiatives across the county for greater collective impact.
      5. To rotate 2020 meetings and have one in each county.
      6. To have meeting from 9am to 1130am.

I wanted to acknowledge our CAP members and thank them for their time, commitment, expertise and dedication to advising on and developing the clinical strategy for CPCCO and the region. The work that the CAP does is extremely important and helps to improve the health system and lives of those it serves.

CAP Members 2019:

  • Roxanna Abbott, DO - Legacy St. Helens, Medical DirectorRe
  • Denise Weiss, RN - The Rinehart Clinic, Director of Quality
  • Dominque Greco, MD - Providence Seaside Medical Group, Medical Director
  • Joe Skariah, DO, MPH – OHSU School of Medicine, Assistant Professor of Family Medicine
  • Kevin Heidrick, PA-C - Yakima Valley Farmworkers Clinic, Chief Medical Officer
  • Laurence Colman, MD – Greater Oregon Behavioral Health, Child and Adolescent Psychiatrist
  • Lisa Steffey, DO – Tillamook County Community Health Center, Medical Director
  • Mary Ann Dearborn, LCSW, CPS - Tillamook Family Counseling Center, Director of Quality
  • Miriam Parker, LCSW - Columbia Community Mental Health. Clinical Director
  • Steven Krager, MD - Columbia Health Services, Medical Director
  • Julie Owens, PharmD - Providence Seaside Medical Group, Pharmacy Manager
  • Brian Garvey, MD, MPH – OHSU Scappoose, Medical Director
  • Robyn Herrick, LPC, MAC, CADCI, Clinical Director Tillamook Family Counseling Center (New CAP Member)
  • Sunday Kamppi – Community Action Team – Healthy Families Program Manager (New CAP Member)
  • Lisa Huddleston, MD - Providence Seaside Medical Group, Medical Director Prov. Seaside Emergency Department (New CAP Member)
  • Shyra Merila, M.A.E.d, LPC – Clatsop Behavioral Healthcare, Director of Outpatient Services (New CAP Member)

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